NPIMap

Organization Active NPI

Iowa Physicians Clinic Medical Foundation

Doing business as UnityPoint Clinic Workplace Health

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Moline, IL
National Provider Identifier
1033866827
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION
Doing business as
UnityPoint Clinic Workplace Health
Practice address
3922 16TH St
Moline, IL 61265-1275
Phone
(515) 241-5391
NPI assigned
Mar 2, 2022
Last updated
Mar 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah J Sullivan
Title
Executive Director, Unitypoint at W
Phone
(515) 241-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X NU Primary

Addresses

Primary practice location

3922 16TH St
Moline, IL 61265-1275

Mailing address

3922 16TH St
Moline, IL 61265-1275

Other names 1

  • UnityPoint Clinic Workplace Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iowa Phy Medical Foundation21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

3922 16th St
Moline, IL 61265
Phone (309) 623-7080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1033866827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651275",
            "telephone_number": "515-241-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, UNITYPOINT AT W",
        "authorized_official_telephone_number": "515-241-5391"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnityPoint Clinic Workplace Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.